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Assessment on Service Excellence of the Blue Cross Insurance, Inc. as Health Insurance Provider

Assessment on Service Excellence of the Blue Cross Insurance, Inc. as Health Insurance Provider PDF Author: Nelly F. Vargas
Publisher:
ISBN:
Category :
Languages : en
Pages : 106

Book Description
Service quality is a major influence in customer buying decision especially when confirmed by experience. Satisfied customers stays loyal longer, buy more as the company introduces new products and upgraded existing products, talks favorably about the company and its product, pays less attention to competing brands and is less sensitive to price and cost less than new customers. This study focused on the service excellence of Blue Cross Insurance, Inc as health insurance provider. Blue Cross is considered as one of the major player in health insurance business. The research utilized the descriptive research design, specifically the one shot survey design. Primary data were gathered from (1) present policyholders with claim utilization for 2009 and (2) Blue Cross Insurance, Inc. management. Results of the study show that a big percentage of policyholders' respondents were satisfied with their experience on service quality with Blue Cross in terms of reliability, responsiveness, assurance, empathy and tangibles. The study also revealed that the Customer Service Department and Claims Department, being the most visited department are doing well in giving quality service to policyholders. The small percentage of policyholders who encountered problem with services offered by Blue Cross confirms previous findings that most of the policyholders were satisfied with their service experience with the company. However, the study also revealed that the average lead time of claim payment of Blue Cross is below the health insurance industry standard. The study further revealed that there is no significant difference between the assessment of the policyholders and management with reference to reliablity, assurance and empathy. However, there is a significant difference between the assessment of policyholders and management with reference to responsiveness and tangibles. The policyholders' assessment is higher compared to management assessment when it comes to responsiveness and tangibles. Recommendations were drawn based on the findings and conclusions.

Assessment on Service Excellence of the Blue Cross Insurance, Inc. as Health Insurance Provider

Assessment on Service Excellence of the Blue Cross Insurance, Inc. as Health Insurance Provider PDF Author: Nelly F. Vargas
Publisher:
ISBN:
Category :
Languages : en
Pages : 106

Book Description
Service quality is a major influence in customer buying decision especially when confirmed by experience. Satisfied customers stays loyal longer, buy more as the company introduces new products and upgraded existing products, talks favorably about the company and its product, pays less attention to competing brands and is less sensitive to price and cost less than new customers. This study focused on the service excellence of Blue Cross Insurance, Inc as health insurance provider. Blue Cross is considered as one of the major player in health insurance business. The research utilized the descriptive research design, specifically the one shot survey design. Primary data were gathered from (1) present policyholders with claim utilization for 2009 and (2) Blue Cross Insurance, Inc. management. Results of the study show that a big percentage of policyholders' respondents were satisfied with their experience on service quality with Blue Cross in terms of reliability, responsiveness, assurance, empathy and tangibles. The study also revealed that the Customer Service Department and Claims Department, being the most visited department are doing well in giving quality service to policyholders. The small percentage of policyholders who encountered problem with services offered by Blue Cross confirms previous findings that most of the policyholders were satisfied with their service experience with the company. However, the study also revealed that the average lead time of claim payment of Blue Cross is below the health insurance industry standard. The study further revealed that there is no significant difference between the assessment of the policyholders and management with reference to reliablity, assurance and empathy. However, there is a significant difference between the assessment of policyholders and management with reference to responsiveness and tangibles. The policyholders' assessment is higher compared to management assessment when it comes to responsiveness and tangibles. Recommendations were drawn based on the findings and conclusions.

Medicare's Quality Improvement Organization Program

Medicare's Quality Improvement Organization Program PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309133696
Category : Medical
Languages : en
Pages : 542

Book Description
Medicare's Quality Improvement Organization Program is the second book in the new Pathways to Quality Health Care series. Focusing on performance improvement, it considers the history, role, and effectiveness of the Quality Improvement Organization (QIO) program and its potential to promote quality improvement within a changing health care delivery environment that includes standardized performance measures and new data collection and reporting requirements. This book carefully examines the QIOs that serve every state as well as the national program that guides and supports them. In addition, it highlights the important roles that a national program with private organizations in each state can play in promoting higher quality care. Medicare's Quality Improvement Organization Program looks closely at the technical assistance role of the QIO program and the need to encourage and support providers to improve their performance. By providing an in-depth assessment of the federal experience with quality improvement and recommendations for program improvement, this book helps point the way for those who strive to create higher quality and better value in health care. Intended for multiple audiences, Medicare's Quality Improvement Organization Program is essential reading for members of Congress, the federal executive branch, the QIOs, health care providers and clinicians, and stakeholder groups.

Essential Health Benefits

Essential Health Benefits PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309219140
Category : Medical
Languages : en
Pages : 256

Book Description
In 2010, an estimated 50 million people were uninsured in the United States. A portion of the uninsured reflects unemployment rates; however, this rate is primarily a reflection of the fact that when most health plans meet an individual's needs, most times, those health plans are not affordable. Research shows that people without health insurance are more likely to experience financial burdens associated with the utilization of health care services. But even among the insured, underinsurance has emerged as a barrier to care. The Patient Protection and Affordable Care Act (ACA) has made the most comprehensive changes to the provision of health insurance since the development of Medicare and Medicaid by requiring all Americans to have health insurance by 2016. An estimated 30 million individuals who would otherwise be uninsured are expected to obtain insurance through the private health insurance market or state expansion of Medicaid programs. The success of the ACA depends on the design of the essential health benefits (EHB) package and its affordability. Essential Health Benefits recommends a process for defining, monitoring, and updating the EHB package. The book is of value to Assistant Secretary for Planning and Evaluation (ASPE) and other U.S. Department of Health and Human Services agencies, state insurance agencies, Congress, state governors, health care providers, and consumer advocates.

Official Gazette of the United States Patent and Trademark Office

Official Gazette of the United States Patent and Trademark Office PDF Author:
Publisher:
ISBN:
Category : Trademarks
Languages : en
Pages : 734

Book Description


Medical Errors

Medical Errors PDF Author: United States. Congress. Senate. Committee on Health, Education, Labor, and Pensions
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 144

Book Description


The Proceedings of the ... Annual Health Care Information & Management Systems Conference

The Proceedings of the ... Annual Health Care Information & Management Systems Conference PDF Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 404

Book Description


Handbook of Home Health Care Administration

Handbook of Home Health Care Administration PDF Author: Harris
Publisher: Jones & Bartlett Publishers
ISBN: 1284068021
Category : Medical
Languages : en
Pages : 919

Book Description
Professional reference for Nurses on Home Health Care

Current Catalog

Current Catalog PDF Author: National Library of Medicine (U.S.)
Publisher:
ISBN:
Category : Medicine
Languages : en
Pages : 1068

Book Description
First multi-year cumulation covers six years: 1965-70.

Medicare and Medicaid

Medicare and Medicaid PDF Author: United States. Congress. Senate. Committee on Finance
Publisher:
ISBN:
Category : Health insurance
Languages : en
Pages : 880

Book Description


Women's Health Care in Advanced Practice Nursing

Women's Health Care in Advanced Practice Nursing PDF Author: Ivy M. Alexander, PhD, APRN, ANP-BC, FAANP, FAAN
Publisher: Springer Publishing Company
ISBN: 0826190049
Category : Medical
Languages : en
Pages : 982

Book Description
Replete with vital information, the second edition of this authoritative women’s health text provides graduate nursing students and nurse practitioners with the resources to deliver optimal health to women of all ages. Edited by a team of highly distinguished clinicians, scholars, and educators, chapters retain a distinctive sociocultural lens that gives a view of women’s health as it relates to women’s lives and identities. Eighteen new chapters address clinical primary care topics, genetics, environmental and occupational health promotion, health considerations for female caregivers, transgender care, urologic health concerns, dementia care, and more. An instructor’s toolkit includes multiple resources to enhance critical thinking, and case studies engage critical thinking skills to apply the multidimensional content in context. This uniquely comprehensive resource examines women’s health through a variety of clinical practice and theoretical frameworks such as feminism, feminist theory, and globalization. The second edition retains the important focus on prevention, managing symptoms, and health problems that are unique to women. Chapters address relevant legal issues, health throughout the life span, nutrition and exercise, sleep difficulties, mental health, LGBTQ health, fertility, substance abuse, violence against women, and dozens of specific health disorders. NEW TO THE SECOND EDITION: Updated to include the most current evidence-based, primary care management guidelines in women’s health Includes 18 new chapters addressing health promotion and symptom management Provides a robust instructor’s toolkit to foster critical thinking Organized to enhance easy retrieval of numerous clinical topics Includes theoretical frameworks for women’s health, health promotion and prevention, and women’s health management Presents brand-new information on genetics, transgender health, endocrine-related problems, health considerations for caregivers, and dementia care KEY FEATURES: Distills cutting-edge information on women’s health issues through a sociocultural framework Offers a comprehensive investigation of key topics in women’s health Edited by renowned scholar/educators for advanced practice nursing students